Organization Active NPI

Jennifer Garcia-Davalos MD PLLC

  • Internal Medicine Physician
  • Laredo, TX
National Provider Identifier
1760349146
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JENNIFER GARCIA-DAVALOS MD PLLC
Practice address
6416 Polaris Dr
Laredo, TX 78041-2088
Phone
(956) 704-0704
Fax
(956) 704-3704
NPI assigned
Jan 7, 2026
Last updated
Jan 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jennifer Garcia-Davalos, MDNPI 1790244770
Title
Owner
Phone
(956) 704-0704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6416 Polaris Dr
Laredo, TX 78041-2088

Mailing address

6416 Polaris Dr
Laredo, TX 78041-2088
Phone (956) 704-0704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260204003466 TX Part B Supplier - Clinic/Group Practice 0648757179 Receives reassigned benefits from 1 practitioner
Practice locations: Laredo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2335174Jennifer Garcia-Davalos MD PLLC6416 Polaris Drive, Laredo, TX 78041Certificate of waiverDec 7, 2027

National Provider Directory

National Provider Directory

Locations

6416 Polaris Dr
Laredo, TX 78041
Phone (956) 704-0704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1760349146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 POLARIS DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412088",
            "telephone_number": "956-704-0704",
            "fax_number": "956-704-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 POLARIS DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412088",
            "telephone_number": "956-704-0704",
            "fax_number": "956-704-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER GARCIA-DAVALOS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA-DAVALOS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-704-0704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.